WILLIAM W HEITZMAN

SHAKOPEE, MN
NPI1134564552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy125J00000X Dental Therapist
(Licence: MN  DT18)
Enumeration Date2013-04-30
Last Update Date2022-07-21
Business Address
-- WILLIAM W HEITZMAN
415 1ST AVE E
SHAKOPEE, MN 55379-1439
Phone number: 952-403-5149
Mailing Address
-- WILLIAM W HEITZMAN
415 1ST AVE E
SHAKOPEE, MN 55379-1439
Phone number: 952-403-5149